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Saint-Hyacinthe Research and Development Centre's Industrial Program: Industrial project application form

You can use either the Web version or the PDF version (55.5 KB) of the form.

Please complete, print and send the form by mail.

Please mail to:

Saint-Hyacinthe Research and Development Centre
Agriculture and Agri-Food Canada
3600 Casavant Boulevard West
Saint-Hyacinthe, Quebec
J2S 8E3
industrial-program@agr.gc.ca

Commercial and Confidential Information

Protected once completed

1. Corporate Information


Address











Do you have an account with Agriculture and Agri-Food Canada?
Yes (go to next question)
No (see note 2)

Was there transactions done within the last 2 years?
Yes (see note 1)
No (see note 2)

Notes:



  1. Your credit will be reevaluated. Credits conditions could be modified.
  2. You have to open an account with Agriculture and Agri-Food Canada. To initiate the process, fill out the form Customer Credit application and join it to this application. If you need a copy of the form, contact industrial-program@agr.gc.ca.

2. Industrial Project





Planned project schedule:



Will you be using hazardous materials as defined by the Workplace Hazardous Materials Information System (WHMIS)?
Yes
No
Don't know


Required Facilities and Services

 
 
 


 
 
 


Resources Provided by the Firm to Carry Out this Project

Personnel: Person responsible for the project








Other staff assigned to the project

(Use another page if there are more than two other persons)







Material (including raw ingredients)






3. Release and Obligations

In the event of acceptance of this application, the Firm agrees:

Agriculture and Agri-Food Canada agrees:

In witness whereof, the authorized representative of the Firm has signed:

Signature:




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